Organization Active NPI

Procare Urgent Care LLC

  • Urgent Care Clinic/Center
  • Milwaukee, WI
National Provider Identifier
1194083410
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
PROCARE URGENT CARE LLC
Practice address
3727 W Wisconsin Ave
Suite 2
Milwaukee, WI 53208-3182
Phone
(414) 291-2626
Fax
(414) 431-0050
NPI assigned
Apr 24, 2012
Last updated
Apr 24, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
PROCARE MEDICAL GROUP, SCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shakaib M Razzaq, M.D.NPI 1497712574
Title
President
Phone
(414) 291-2626

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

3727 W Wisconsin Ave
Suite 2
Milwaukee, WI 53208-3182

Mailing address

3727 W Wisconsin Ave
Milwaukee, WI 53208-3182
Phone (414) 291-2626

National Provider Directory

National Provider Directory
Part of
Mohammed R Sethi MD SC

Locations

3727 W Wisconsin Ave
Milwaukee, WI 53208
Phone (414) 291-2626

3727 W Wisconsin Ave
Ste 2
Milwaukee, WI 53208
Phone (414) 291-2626

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1194083410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3727 W WISCONSIN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532083182",
            "telephone_number": "414-291-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3727 W WISCONSIN AVE",
            "address_2": "SUITE 2",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532083182",
            "telephone_number": "414-291-2626",
            "fax_number": "414-431-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE URGENT CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROCARE MEDICAL GROUP, SC",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "RAZZAQ",
        "authorized_official_first_name": "SHAKAIB",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-291-2626",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.